Berg balance scale exercise with parkinsons disease. Upper extremity functional evaluation by fuglmeyer. The fugl meyer assessment fma is a strokespecific, performancebased impairment index. Hierarchical properties of the motor function sections of the fuglmeyer assessment scale for people after stroke. However, reflex activity is measured using 2 points only, with a score. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia12. Original article the testretest reliability and minimal. We aimed to develop a short form of the fm the sfm with sound psychometric properties for stroke patients. However, the lengthy administration time of the fm keeps it from being widely accepted. The 37item fugl meyer motor scale is suggested as an outcome measure for both clinicians and researchers.
A score of 1 is given when the task is performed partially and a score of 2 is given when the task is performed fully. The effect size of the bbs over the 12 weeks immediately following stroke is large. Developing a short form of the berg balance scale for. Psychometric comparison of the shortened fugl meyer assessment and the streamlined wolf motor function test in stroke rehabilitation article pdf available in clinical rehabilitation 2611. Short blessed test now i would like to ask you some questions to check your memory and concentration. However, the lengthy administration time of the fm keeps it from being widely accepted for routine clinical use. Developing a short form of the postural assessment scale. Psychometric comparisons of 2 versions of the fuglmeyer.
Fuglmeyer assessment clinical neuroscience, university. Psychometrics of the wrist stability and hand mobility subscales of the fuglmeyer assessment in moderately impaired stroke stephen j. Development and validation of a short form of the fugl. Approved by fuglmeyer ar 2010 1 fuglmeyer assessment id. To improve the utility of the berg balance scale bbs, the aim of this study was to develop a short form of the. The fugl meyer assessment scale is an ordinal scale that has 3 points for each item.
Development and validation of a short form of the fugl meyer motor scale in patients with stroke. Development and validation of a short form of the fuglmeyer motor scale in patients with stroke. The berg balance scale short form is a performancebased measure of balance during specific movement tasks. Psychometric comparison of the shortened fuglmeyer assessment and the streamlined wolf motor function test in stroke rehabilitation tiffany szuting fu, chingyi wu, kehchung lin, chingju hsieh, jungsen liu, tienni wang, and pei ouyang. Development and validation of a short form of the fuglmeyer. Jan 01, 2015 it should be noted that a short form of the ue fm, consisting of 12 items, was recently validated. The 50item fuglmeyer motor scale fm is commonly used in outcome studies.
Fuglmeyer assessment of sensorimotor recovery after stroke fma. The fuglmeyer motor scale fm1 is widely used in clinical trials to quantify motor deficits after stroke. Functional abilities were examined with fuglmeyer assessment, sittostand test, and berg balance scale. Fugl meyer assessment used at 2 weeks and 8 weeks poststroke 10 patients with stroke and upperextremity impairment fugl meyer assessment and desouza functional arm test used to assess upper extremity 15 men following cerebrovascular accident tested using barthel index, fugl meyer assessment, and tests of walking performance and postural. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. The 7item bbs3p, compared with the original bbs, is simpler and faster to complete in either a clinical or a research setting and is recommended. Correlation of the lisat9 is moderate for the short form36 mental health subscale spearmans r0. Psychometric comparisons of 2 versions of the fuglmeyer motor. Objective to compare the responsiveness of the rasch calibrated 37item fugl meyer motor scale fm37 to that of its 12item short form fm12 at both individualperson and group levels. Clinical administration of the wrist stability, wrist mobility, and hand items of the upperextremity fugl meyer wh ue fm may provide a rigorous, easily administered, bedside measure of motor impairment in mildly impaired stroke survivors. Functional independence, mental health and quality of life. Assessment time to administer continue reading evaluation. The 7item bbs3p was found to be psychometrically similar to the original bbs.
In 1975, fugl meyer, jaasko, leyman, olsson, and steglind published the fma. The purpose of short form berg balance scale is to assess the static and dynamic balance and fall risk in adult and geriatric populations. Reliability of the fuglmeyer assessment for testing motor performance in patients following stroke. The fuglmeyer upper extremity scale description thefuglmeyerupperextremityfmuescale1 isawidelyused and highly recommended strokespeci. Psychometric comparisons of 2 versions of the fugl meyer motor scale and 2 versions of the stroke rehabilitation assessment of movement iping hsueh, ma, miaoju hsu, phd, chingfan sheu, phd, su lee, ms, chinglin hsieh, phd, and jauhong lin, phd. The secondary outcome measures were the upperlimb subscale of the fuglmeyer assessment, and painfree passive shoulder range of motion. Pdf development and validation of a short form of the.
Fuglmeyer assessment of sensorimotor recovery after. Background and purposethe 50item fugl meyer motor scale fm is commonly used in outcome studies. This scale was first proposed by axel fugl meyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. Therefore, the 37item fuglmeyer motor scale and its short form, the 12item fuglmeyer motor scale, have been developed with rasch analysis to improve the psychometric properties, including better construct validity, a true interval scale to quantify motor function, and faster administration. Some of them may be easy and some of them may be hard. Initially uploaded to the rehabilitation measures database in 2010. Developing a short form of the berg balance scale for people. Reliability of the fugl meyer assessment for testing motor performance in patients following stroke. Development and validation of a shortform of the fuglmeyer motor scale in patients.
Fuglmeyer ar, jaasko l, leyman i, olsson s, steglind s. The fugl meyer assessment fma is a quantitative measure that is widely used to assess motor recovery poststroke in hemiplegic patients. The purpose of this study was to evaluate the item structure of the wh ue fm to better understand its. Pdf development and validation of a short form of the fugl. The ue portion assesses voluntary movement, reflex activity, grasp and coordination. Is the long form of the fuglmeyer motor scale more. Correlation of the lisat9 is moderate for the short form36 mental health subscale. It is designed to assess five domains in patients with poststroke hemiplegia consisting of.
Chien and jauhong lin and chunhou wang and iping hsueh and chingfan. Fuglmeyer assessment fma coming soon the fuglmeyer assessment fma is a strokespecific, performancebased impairment index. The fuglmeyer upper extremity assessment fma is a strokespecific and performancebased impairment index. Patients with poststroke hemiplegia is this a screening or assessment tool. Objective to compare the responsiveness of the rasch calibrated 37item fuglmeyer motor scale fm37 to that of its 12item short form fm12 at both individualperson and group levels. Psychometric comparisons of 2 versions of the fuglmeyer motor scale and 2 versions of the stroke rehabilitation assessment of movement. The fugl meyer assessment of motor recovery after stroke. Measuring the effectiveness of interventions is accepted as being central to good practice.
Clinical administration of the wrist stability, wrist mobility, and hand items of the upper extremity fuglmeyer wh ue fm may prove a rigorous, easily administered, bedside measure of motor impairment in mildly impaired stroke survivors. Apta combined sections meeting 2008 incorporating valid and reliable outcome measures into care for patients with stroke. Fuglmeyer assessment of sensorimotor function wikipedia. Assessment time to administer continue reading evaluation summary fma. Life satisfaction questionnaire lisat 9, lisat11 clinical summary. The purpose of this study was to evaluate the item structure of the wh ue fm. Apta combined sections meeting 2008 incorporating valid. Fuglmeyer et al,2 28 patients content validity 1975 stroke for at least 24 hours fuglmeyer assessment administered at 6 weeks to 6 months 15 patients followed for 1 year badke and 10 healthy subjects and 10 patients construct validity duncan, 1983 with. Bbs, barthel index, and fugl meyer motor test were administered at these 2 time points. Results the area under the curve of the abc scale and the shortform abc scale in predicting fall was0.
Sullivan kj, cen sy, rose dk, koradia ch, azen sp, duncan pw, leaps investigative team. Motor function, sensation, balance, joint range of motion and joint pain. Patients were assessed with the berg balance scale at 14, 30 and 90 days post stroke by an occupational therapist the score of the short form was determined by. Updated by carmen capolugo, pt, phd and dorian rose pt, phd and the stroke. A zero score is given for the item if the subject cannot do the task. Jul 01, 2016 hsieh yw, hsueh ip, chou yt, sheu cf, hsieh cl, kwakkel g. Fugl meyer ar, jaasko l, leyman i, olsson s, steglind s. Pdf psychometric comparison of the shortened fuglmeyer. The fma manual of procedures developed by sullivan et al. Developing a short form of the berg balance scale for people with stroke.
Linguistic validation of the fuglmeyer life satisfaction checklist lisat 8. Approved by fugl meyer ar 2010 1 fugl meyer assessment id. It involves the measurement of both upper and lower extremities ue, le however, the scores for ue are weighted more. Page, phd, ms, mot, otrl, faha, school of health and rehabilitation sciences, ohio state university, 453 w tenth ave, columbus, oh 43210 usa. The fm consists of a 33item upper extremity subscale and. Psychometric comparison of the shortened fugl meyer assessment and the streamlined wolf motor function test in stroke rehabilitation tiffany szuting fu, chingyi wu, kehchung lin, chingju hsieh, jungsen liu, tienni wang, and pei ouyang. Fuglmeyer upper extremity assessment bilateral arm. The fuglmeyer assessment of motor recovery after stroke. As expected, correlation of the lisat9 is low for the functional independence measure motor subscale spearmans r0. Stretch reflex variation in the relaxed and the preactivated quadriceps muscle of normal humans.
Hsieh yw, hsueh ip, chou yt, sheu cf, hsieh cl, kwakkel g. The short form has 7 items with three levels 024 collapsed from the original five levels 01234. To explore the concurrent validity, responsiveness, and floor and ceilingeffects of the 2 items of action research arm test arat2 in comparison with the original arat and the fuglmeyer assessment for upper extremity fmaue during the first 4 weeks poststroke. Fuglmeyer assessment clinical neuroscience, university of. Subsequent to problems reported with sitting balance items malouin et al. Responsive than the short form in patients with stroke. Medline 11 chen kl, chen ct, chou yt, et al is the long form of the fuglmeyer motor scale more responsive than the short form in patients with stroke.
Clinical administration of the wrist stability, wrist mobility, and hand items of the upperextremity fuglmeyer wh ue fm may provide a rigorous, easily administered, bedside measure of motor impairment in mildly impaired stroke survivors. Short form berg balance scale 3 point rehabmeasures database. Test retest reliability and minimal detectable change on balance and ambulation tests, the 36 item short form health survey, and the unified parkinson disease rating scale in people with parkinsonism. It is caused by damage from a stroke to nerve pathways within the brain or spinal sscala that control muscle movement. In addition to the manual, administration of the test requires a mat or bed and a chair. Life satisfaction questionnaire lisat9, lisat11 spinal. The 37item fuglmeyer motor scale is suggested as an outcome measure for both clinicians and researchers. Original article discriminative and predictive validity of. By reducing the number of tested items by more than half the number of items in the original bbs ie, making 4, 5, 6, and 7item tests and simplifying the scoring system of the original bbs ie, collapsing the 5level scale into a 3level scale bbs3p, we. Reliability of the fuglmeyer assessment of sensorimotor recovery following cerebrovascular accident. Objective to compare the responsiveness of the rasch calibrated 37item fuglmeyer motor scale fm37 to that of its 12item short form fm12 at.
The primary outcome measures included a vertical numerical rating scale supplemented with a faces rating scale, and the short form of the brief pain inventory. Psychometric comparison of the shortened fuglmeyer. The correlation between short form 36 questionnaire and fuglmeyer assessment is 0. Fuglmeyer assessment evaluation of upper extremity. Background and purposethe 50item fuglmeyer motor scale fm is commonly used in outcome studies. Journal of rehabilitation medicine evaluation of a short. Developing a short form of the berg balance scale for people with stroke background and purpose.
John brown, 42 market street, chicago john brown, 42 market street. One of the most widely used quantitative measures of motor impairment gladstone et al, 2002 shortened versions require less than 10 minutes. Reliability of the fuglmeyer assessment for testing motor. This scale was first proposed by axel fuglmeyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement qualities. Although the grouplevel responsiveness of the 12item fuglmeyer motor scale was sufficient and very similar to that of the 37item fuglmeyer motor scale, the 37item fuglmeyer motor scale had better individuallevel responsiveness. Patients were assessed with the berg balance scale at 14, 30 and 90 days post stroke by an occupational therapist. Translation, adaptation and interrater reliability of the.
The fuglmeyer assessment fma is a strokespecific, performancebased impairment index. Fuglmeyer balance scale how is fuglmeyer balance scale. Therefore, the 37item fugl meyer motor scale and its short form, the 12item fugl meyer motor scale, have been developed with rasch analysis to improve the psychometric properties, including better construct validity, a true interval scale to quantify motor function, and faster administration. Bbs, barthel index, and fuglmeyer motor test were administered at these 2 time points.
Fuglmeyer assessment of motor recovery after stroke. The purpose of this study was to evaluate the itemstructure of the wh ue fm using rasch analysis. Although the grouplevel responsiveness of the 12item fugl meyer motor scale was sufficient and very similar to that of the 37item fugl meyer motor scale, the 37item fugl meyer motor scale had better individuallevel responsiveness. The list of acronyms and abbreviations related to fma fuglmeyer motor assessment. Development and validation of a short form of the fuglmeyer motor scale in patients brrunnstrom stroke. This result indicates that both examination tools have discriminative validity in predicting falls. Apta combined sections meeting 2008 incorporating valid and. Fuglmeyer assessment of sensorimotor recovery after stroke fma evaluation summary what does the tool measure. Request pdf development and validation of a short form of the fuglmeyer motor scale in patients with stroke the 50item fuglmeyer. Fuglmeyer assessment fma scale is an index to assess the sensorimotor impairment in individuals who have had stroke. Psychometric comparisons of 2 versions of the fuglmeyer motor scale and 2 versions of the stroke rehabilitation assessment of.
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